Individual
CAROL ANN SMOLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
114 BARNEY DR, JOLIET, IL 60435-6404
(815) 729-0521
(815) 729-9060
Mailing address
114 BARNEY DRIVE, JOLIET, IL 60435-6404
(815) 729-0521
(815) 729-9060
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209002998
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036049932
CLIA
IL
01
—
14D0419115
CLIA
IL
Enumeration date
01/25/2012
Last updated
01/25/2012
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